子宫动脉栓塞术与局灶切除术治疗子宫腺肌病临床分析

    Clinical analysis between uterus artery embolization and local excision in the treatment of uterine adenomyosis

    • 摘要: 目的:观察子宫动脉栓塞术及局灶切除术在子宫腺肌病(adenomysis,AM)治疗中的作用,为治疗AM提供参考依据。方法:56例AM患者中,行腹式病灶切除术(A组)27例,双侧子宫动脉栓塞术(B组)29例。术后随访24个月,比较两种治疗方法的近远期疗效。结果:2组患者术后6、12和24个月痛经症状均得到改善,但2组差异均无统计学意义(P>0.05),2组患者子宫体积均较术前明显缩小(P<0.01)。结论:子宫动脉栓塞术和腹式病灶切除术均为治疗AM的有效方法,均可保留子宫,为育龄妇女提供妊娠机会。

       

      Abstract: Objective:To compare the effects between uterus artery embolization and local excision in the treatment of uterine adenomyosis(AM) to provide the basis for clinical AM treatment.Methods:Among the 56 AM patients,27 cases(A group) and 29 cases(B group) were treated with local excision and uterine artery embolization,respectively.All cases were followed up for 24 months,the long-and short-term efficacy between two groups were compared.Results:The dysmenorrhea symptoms in two groups were improved after 6,12 and 24 months of operation,the difference of which was not statistically significant(P>0.05).Compare with that before operation,the uterine volume in two groups were obviously shrinked(P<0.01).Conclusions:Both uterus artery embolization and abdominal local excision are effective mothods in treating AM,which can reserve uterus for providing the pregnancy chance in the reproductive age women.

       

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